鼻内镜下低温等离子射频消融与传统方式切除鼻前庭囊肿的临床疗效观察

发布时间：2019-07-14 19:09

【摘要】：目的比较鼻内镜下低温等离子与传统方式(经齿龈沟径路)行鼻前庭囊肿切除的临床疗效观察分析。方法选取青海大学附属医院耳鼻咽喉科2010年1月-2016年1月经手术治疗的鼻前庭囊肿患者68例,并将其按照随机分组的方式分为对照组和实验组,其中对照组34例,实验组34例。对照组患者采取传统方式(经齿龈沟径路)行囊肿切除,实验组采取鼻内镜下低温等离子方式行囊肿切除。比较两组患者手术时间、术中出血情况、术后疼痛情况、术后伤口愈合时间及手术并发症等。结果实验组手术时间、术中出血量、术后疼痛及伤口愈合时间均优于对照组(P0.05),手术并发症发生率明显低于对照组(P0.05)。结论鼻内镜下低温等离子术治疗鼻前庭囊肿具有痛苦少、创伤小、疗效好和并发症少等优点,值得临床应用及推广。
[Abstract]:Objective to compare the clinical efficacy of endoscopic hypothermic plasma and traditional (via gum crevicular approach) in the resection of nasal vestibule cysts. Methods from January 2010 to January 2016, 68 patients with nasal vestibule cysts were randomly divided into control group (n = 34) and experimental group (n = 34), which were randomly divided into control group (n = 34) and experimental group (n = 34), which were randomly divided into control group (n = 34) and experimental group (n = 34). The patients in the control group were resected by traditional way (via gum crevicular approach), and the cysts in the experimental group were resected by low temperature plasma under nasal endoscope. The operation time, intraoperative bleeding, postoperative pain, postoperative wound healing time and surgical complications were compared between the two groups. Results the operation time, intraoperative blood loss, postoperative pain and wound healing time in the experimental group were better than those in the control group (P 0.05), and the incidence of operative complications was significantly lower than that in the control group (P 0.05). Conclusion endoscopic hypothermic plasma has the advantages of less pain, less trauma, good curative effect and less complications, which is worthy of clinical application and popularization.
【作者单位】：青海大学附属医院耳鼻咽喉科;
【分类号】：R765.9

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